HolSpan MD

01/15/2026

While there is no one size fits all diet (or supplement) specifically to boost testosterone, generalized weight reduction with a focus on reduction of truncal obesity (belly fat) and improvement in body composition reliably will lead to an increase in testosterone that the body can use (along with a myriad of benefits that bolster healthspan!)  

Overall, it is refreshing that consideration is being given to testosterone optimization and men’s health. 

Nutrition
Movement
Sleep
Restorative practices
Mental state / stress management

All of these things have to be in alignment (or results may vary). Diet alone cannot override an overall poor lifestyle…

Be balanced
Be HOL

New U.S. dietary guidelines for the first time include advice for men on maintaining healthy testosterone levels.

01/12/2026

Some of the most successful people in the world follow the same principles (focused on consistency over time).

Be HOL

It's okay to be BORING. ⁠
⁠
Boring is predictable.⁠
Predictable is repeatable.⁠
Repeatable gets results.

01/09/2026

Stick to the perimeter of the supermarket.

Prepare your food / home-cooked meals.

Be mindful of ultra-processed food.

80/20 rule regarding nutrition

Be nourished
Be HOL

ACLM applauds several DGA recommendations, while standing strong on our advocacy of evidence-based whole food, plant-predominant eating patterns for optimal health.

The new Dietary Guidelines emphasize whole foods as a key element of chronic disease prevention, along with increased intake of fruits and vegetables and reduced consumption of added sugars, refined grains, highly processed foods, and sugary drinks, closely aligning with evidence-based lifestyle medicine practices.

ACLM believes that for the treatment, reversal, and prevention of lifestyle-related chronic diseases, an optimal dietary pattern has at its foundation a wide variety of whole and minimally processed plant foods, including vegetables, fruits, whole grains, legumes, mushrooms, nuts, and seeds, while not exceeding energy requirements. It also minimizes red and processed meats, foods high in saturated fat, and ultra-processed foods containing added sugars, sweeteners, unhealthy fats/oils, refined carbohydrates and excess sodium.

🔗 Read the full statement: https://www.prweb.com/releases/american-college-of-lifestyle-medicine-supports-dietary-guidelines-focus-on-healthy-eating-302656716.html

01/06/2026

For those resolving to improve their eating habits:

“The best diet isn’t the perfect one on paper. It’s the one you can actually follow.

A plan that’s 75% optimal but followed 100% of the time will always beat a perfect plan followed inconsistently”

Focus on the big picture and the prime movers.
Don’t sweat the small stuff (that Is typically hyped).

https://rpstrength.com/blogs/articles/diet-priorities-the-90-10-rule

01/06/2026

Be consistent (not perfect)
Be HOL

Something beats nothing. Consistency beats perfection.⁠
⁠
💥 Want a plan that adjusts when life does? Start with RP. 💥⁠
⁠
SALE ENDS AT MIDNIGHT.

https://rpstrength.com/NY26-FB

01/05/2026

When resolving to make changes, don’t forget about sleep (which should be rebranded as restorative self care for optimal performance)!

“The impact of this goes beyond just a rough mood. It infiltrates every aspect of daily life.

Food: When you’re tired, your brain demands sugar and fast calories. Ghrelin, the hormone that stimulates hunger, rises while leptin, the hormone that signals fullness, drops. The result is constant cravings and a drive toward quick fixes.
Mood: With the frontal lobe offline, the emotional centers fire unchecked. Irritability and reactivity spike, making patience with your partner, kids, or coworkers nearly impossible.
Decisions: Long-term thinking gives way to immediate gratification. Financial choices, health commitments, even something as simple as sticking to your bedtime routine – fatigue tips the scales toward what feels good now at the expense of what’s better later.”

Be rested
Be restored
Be HOL



Discover how sleep deprivation undermines willpower, impulse control, and mood. Former Navy SEAL physician Dr. Kirk Parsley explains why better sleep - not more discipline - is the real key to focus, healthy choices, and emotional balance.

12/24/2025

Recent expert panel conversation presented to the FDA shared below:

Many of the experts on the panel are urologists and belong to many of the professional organizations that I belong to including:

American Urological Association (AUA)
Androgen Society

Many important topics/themes:

- Protecting young men from illicit use (impaired fertility and long-term need result from use at a young age)

I am also passionate about this topic as I counsel many young men facing male factor infertility concerns who have been on or are currently taking testosterone without this broader understanding. 

My practice provides these men with heavy doses of lifestyle centric/behavioral counseling (along with medical intervention to address their prior use of testosterone).

- Presenting a contemporary understanding of the current science of testosterone replacement therapy

Antiquated “understandings”, dogma, unwarranted fear, bias, and taboo have crowded out a sober evaluation of the current medical literature by many practitioners.

My practice strives to prescribe testosterone replacement therapy responsibly. It is often layered on a base of lifestyle centric, foundational approaches (focused on diet, exercise, sleep, restorative practices, behavioral/stress management principles).  Many men thrive in this protocol.

- Deregulating testosterone as a scheduled drug

I have multiple conversations each week with patients who discuss difficulties obtaining testosterone from their pharmacy. Many of the concerns listed above have created an atmosphere where patients do not have an easy time getting a prescription for a beneficial medication filled. 

Unnecessary layers /barriers have been created that lead many practitioners to be conditioned to not prescribe the medication (to avoid the overall hassle). This is a huge disservice to patients and men (as women do not encounter the same difficulties filling prescriptions for estrogen derivatives and female hormone replacement therapy).

In short, testosterone is a very powerful intervention when prescribed responsibly and blended with solid lifestyle centric practices. I’ve personally seen many men benefit immensely (while guiding /monitoring their care).  Urologists need to continue to be good stewards of this therapy while also advocating responsibly for their patients.

Be well (and healthy men)
Be HOL

https://www.youtube.com/live/BdAawJmQ9Fs?si=NA6-zqiX4T4Jh

The Expert Panel on Testosterone Therapy for Men will facilitate discussions on treatments, education, and comprehensive medical care, moving beyond mere sym...

12/15/2025

Putting the politics of FDA aside, the panel included very big names in Urology. The experts on the panel, along those that were referenced, are very reputable physicians at the cutting edge of the contemporary science of testosterone replacement therapy. 

“Notably, the panel addressed the outdated label language—particularly the inaccurate implication that TRT increases prostate cancer risk—and reconsidering testosterone’s classification as a Schedule III controlled substance, which he says creates unnecessary barriers to patient access.”

These are important changes that will allow more responsible administration of medically supervised testosterone replacement therapy.

Be well
Be HOL

Mohit Khera, MD, MBA, MPH, recaps key takeaways from an FDA expert panel discussion on testosterone replacement therapy for men.

12/12/2025

Honest commentary regarding contemporary science is always refreshing.

We are currently seeing this with hormone replacement therapy (in both men and women).

Dogma, taboo, and unjustified fears have crowded out a contemporary understanding of science for way too long. This is a disservice to many who would benefit from responsible, monitored use of medically supervised hormone replacement therapy (HEALTHSPAN!).

📣 Tomorrow (Dec 10), three of our members – 𝗗𝗿. 𝗠𝗼𝗵𝗶𝘁 𝗞𝗵𝗲𝗿𝗮, 𝗗𝗿. 𝗠𝗮𝗿𝘁𝗶𝗻 𝗠𝗶𝗻𝗲𝗿, and 𝗗𝗿. 𝗔𝗯𝗿𝗮𝗵𝗮𝗺 𝗠𝗼𝗿𝗴𝗲𝗻𝘁𝗮𝗹𝗲𝗿 – will present at the 𝗙𝗗𝗔 𝗘𝘅𝗽𝗲𝗿𝘁 𝗣𝗮𝗻𝗲𝗹 𝗼𝗻 𝗧𝗲𝘀𝘁𝗼𝘀𝘁𝗲𝗿𝗼𝗻𝗲 𝗥𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁 𝗧𝗵𝗲𝗿𝗮𝗽𝘆 𝗳𝗼𝗿 𝗠𝗲𝗻, 1-3 p.m. ET.

This is an important opportunity for expert voices in our field to help inform national understanding of testosterone therapy. We encourage our community to tune in and show support!

🔗 Watch + learn more: https://bit.ly/48tolrC

11/04/2025

I have this conversation almost daily with patients in my practice. Alcohol consumption does not “help you sleep“. It impairs sleep and overall performance on multiple levels.  If you’re missing out on quality sleep, you’re missing out on the restorative properties of the body and the ability to produce testosterone and growth hormone (on your own…).

“There’s also the issue of sleep, says Anoopinder Singh, MD, a board-certified psychiatrist with Mindpath Health. Because alcohol reduces rapid eye movement (REM) sleep, which is essential for memory consolidation and emotional regulation, heavy drinking is known to impair cognitive function and mood, he explains.

In the short term, this is why you may feel foggy and agitated after a night of drinking, but over the long term, this alcohol-induced daze can lead to memory loss, slow processing speed, and poor problem-solving skills.

Last but not least, alcohol contributes to vascular damage, which raises the likelihood of strokes and small vessel disease, resulting in increased dementia risk, according to Turner.

So how does alcohol cause so much damage, you ask? “The primary culprit is ethanol and its metabolite acetaldehyde,” Singh says. “Ethanol alters neuronal signaling and sleep, while acetaldehyde drives oxidative stress and neuroinflammation.” Alcohol also generates free radicals in the body, triggering neuroinflammation and interfering with nutrient absorption, ultimately contributing to brain cell death and increased dementia risk.”

Be aware
Be HOL

Researchers from Oxford, Yale, and Cambridge found that any level of alcohol consumption raises dementia risk. Using genetic data from over 500,000 participants, they discovered that light drinkers faced a significant uptick in dementia diagnoses. The findings call into question decades of “health...

10/22/2025

Back to basics (keep it simple).

Be HOL

10/21/2025

I, along with practice partners, have transitioned clinical practice to The Baton Rouge Clinic Urology.

Same convenient locations, but now with enhanced clinical experiences including access to MyChart and integration with The Baton Rouge Clinic primary care providers.

Urologic Excellence
Holistic Mindset
Optimal Patient Experience

Be well
Be HOL

https://batonrougeclinic.com/provider/kelly-james-boudreaux-jr-md/l

Kelly James Boudreaux, Jr., MD, specializes in Urology at Baton Rouge Clinic, offering expertise in diagnosing and treating conditions affecting the urinary tract.